Which statement accurately describes the characteristics of venous ulcers?

Venous ulcers are primarily associated with chronic venous insufficiency and are typically found in specific areas of the lower leg. The statement that they are located proximal to the medial malleolus and usually not painful accurately reflects the common clinical characteristics of venous ulcers. These ulcers often appear on the inner aspect of the ankle and sometimes extend upward along the leg.

Unlike arterial ulcers, which tend to be more painful and often located on the toes or feet, venous ulcers are characterized by their relatively lower pain levels, making them less acute in presentation. The presence of edema and varicosities in the surrounding tissue is also a hallmark of venous ulcers, further supporting this statement as a good representation of their peculiar characteristics.

Additionally, while surgical intervention may be considered in certain cases of chronic venous insufficiency, the primary treatment for venous ulcers focuses more on compression therapy and wound management rather than surgery itself. The other options either mischaracterize the pain level associated with venous ulcers or inaccurately describe their typical presentations and treatment approaches.